| NPI | 1184688608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S6501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 15556) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2023-03-01 |