| NPI | 1124066204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086685) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2024-04-09 |