| NPI | 1720720709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX BP10079231) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 745357) |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2023-06-19 |