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 | 2024-09-17 |