| NPI | 1598152167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 64027) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052619) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2021-10-15 |