| NPI | 1982832143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 100069) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3990) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-07-31 |