| NPI | 1407020035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9579) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX M9579) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2022-08-19 |