| NPI | 1689106791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A169851) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-05-15 |