| NPI | 1205018926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI 231591) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2021-04-06 |