| NPI | 1770106148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 24203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10072206) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2023-08-02 |