| NPI | 1336535772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8128) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 58023) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2024-08-02 |