| NPI | 1497117063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME140244) |
| 207R00000X Internal Medicine (Licence: FL 140244) | |
| 207R00000X Internal Medicine (Licence: MA 282710) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2022-09-13 |