| NPI | 1790133809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 3827) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S9582) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2025-04-09 |