| NPI | 1669411849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4123) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37811) |
| 207R00000X Internal Medicine (Licence: MO 2005024069) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2020-03-25 |