| NPI | 1770638173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D65616) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX T1021) |
| 207R00000X Internal Medicine (Licence: MD P18627) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-07-20 |