| NPI | 1982879359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086025) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2023-11-15 |