| NPI | 1073176772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U9308) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 695508) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-08-13 |