| NPI | 1730228727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD192473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX m8178) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2021-06-29 |