| NPI | 1912325499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD500002330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S8313) |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-12-13 |