| NPI | 1265663710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1418) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: TX P1418) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2023-12-19 |