| NPI | 1851514723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 41818) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9548) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2022-04-12 |