| NPI | 1972966877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10055789) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-10-08 |