| NPI | 1164626750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0026276) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2025-11-20 |