| NPI | 1124070768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 31369) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0762) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-07-21 |