| NPI | 1679885248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260240) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S9744) |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2021-06-25 |