| NPI | 1295238012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7606) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 326825) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2024-11-19 |