| NPI | 1265495998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0061028) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2021-07-13 |