| NPI | 1154709715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R6585) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053372) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-12-29 |