| NPI | 1659631117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5370) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036154726) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2021-06-15 |