| NPI | 1053678805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8443) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116024116) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2024-07-29 |