| NPI | 1659839975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 12994423-1204) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR PG205083) |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-08-26 |