| NPI | 1013925874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M4309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Temp) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2023-08-15 |