| NPI | 1992291827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301115718) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-03-07 |