| NPI | 1841650041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT210104) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2023-02-15 |