| NPI | 1568967974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 12377479-1205) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: UT 12377479-1205) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2022-04-14 |