| NPI | 1770146292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301505402) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U0546) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2023-07-02 |