| NPI | 1962714469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U2405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101262003) |
| 207R00000X Internal Medicine (Licence: SD 8879) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2023-11-30 |