| NPI | 1881959526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01084083A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R9973) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2021-02-08 |