| NPI | 1669769758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME146111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P9671) |
| 207R00000X Internal Medicine (Licence: IL 125059067) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2022-10-10 |