| NPI | 1982897930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6375) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT189873) |
| 207R00000X Internal Medicine (Licence: PA MD440530) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-07-01 |