| NPI | 1962760348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 067074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044079) |
| 207R00000X Internal Medicine (Licence: WA MD60511574) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2022-06-09 |