| NPI | 1811359490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3699) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 60608) |
| 207R00000X Internal Medicine (Licence: TX S3299) | |
| 207R00000X Internal Medicine (Licence: FL ME141806) | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2021-03-16 |