| NPI | 1063640217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101283397) |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2025-08-08 |