| NPI | 1871977843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1008) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36144837) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2022-07-20 |