| NPI | 1619461225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 12218092-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-11300) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2023-02-09 |