| NPI | 1629423330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9166) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2022-03-17 |