| NPI | 1003004201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5534) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 2112) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2025-06-06 |