| NPI | 1255490801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 52432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L3993) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-02-01 |