| NPI | 1164596532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0312) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48430) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-01-27 |