| NPI | 1912406919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 11917518-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MT 9965) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2021-12-17 |