| NPI | 1649425836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 59574) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME131751) |
| 207R00000X Internal Medicine (Licence: TX N2414) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2022-03-21 |