| NPI | 1780251322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2024-01644) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10077007) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-11-13 |