| NPI | 1780764894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8326) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 13212) |
| 207R00000X Internal Medicine (Licence: CA A84757) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2021-01-25 |