| NPI | 1023135639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD26509) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-07-19 |