| NPI | 1073860417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 67467) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1974) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2025-01-09 |