| NPI | 1699939900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01069216A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0031988) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2025-03-12 |