| NPI | 1609291582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7025) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.128926) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2021-10-18 |