| NPI | 1740720788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4609) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2019-1073) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2022-08-30 |