| NPI | 1689051906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 5101027960) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6842) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2024-12-23 |