| NPI | 1831651504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U1509) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022036666) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-03-29 |