| NPI | 1861996449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8288) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125074732) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-03-12 |