| NPI | 1194946244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 45274) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2022-03-31 |