| NPI | 1982021861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S6339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME159997) |
| 207R00000X Internal Medicine (Licence: PR 19297) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-05-03 |