| NPI | 1295938439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V2779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2007-0215) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2025-01-13 |