NPI | 1972130052 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V8004) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.075641) |
207R00000X Internal Medicine (Licence: NH 24194) | |
Enumeration Date | 2020-03-26 |
Last Update Date | 2025-06-19 |