| NPI | 1376987057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL UO2777) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2024-05-16 |