| NPI | 1851662324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2021-01707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX p3127) |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2021-09-28 |