| NPI | 1700443728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 91552) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U5011) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2024-03-05 |