| NPI | 1073558433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX Q1900) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1900) |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2025-01-31 |