| NPI | 1689694853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S5342) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125036686) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-10-14 |