| NPI | 1265672992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5637) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440767) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2023-04-26 |