| NPI | 1770142846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4690) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125073657) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2025-01-13 |