| NPI | 1063611358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: TX N8757) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N8757) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2026-01-08 |