| NPI | 1053413138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 238055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1892) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-01-11 |