| NPI | 1073877700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6407) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101483) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-08-01 |