| NPI | 1962937375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 008619) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5469) |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2020-08-10 |