| NPI | 1023002144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7404) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2002-0425) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2023-03-07 |