| NPI | 1598175895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2358) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-141832) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2021-10-19 |