| NPI | 1689918815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2023030155) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S4739) |
| Enumeration Date | 2012-11-10 |
| Last Update Date | 2023-12-06 |