| NPI | 1316958713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6962) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 22987) |
| 174400000X Specialist (Licence: TX N6962) | |
| 207Q00000X Family Medicine (Licence: TX N6962) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX N6962) | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2023-07-12 |