| NPI | 1720429319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C200721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4664) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2025-05-05 |