| NPI | 1902037021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6386) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056117) |
| 207R00000X Internal Medicine (Licence: KY 45499) | |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2018-10-12 |