| NPI | 1598104796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5151) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME115377) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2022-12-07 |