| NPI | 1104887595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX u0210) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD25891) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2024-09-27 |