| NPI | 1730445727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD196609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q4065) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2022-03-30 |