| NPI | 1831120518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M1793) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX M1793) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-06-09 |