| NPI | 1417205766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T7190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0053063) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2023-12-15 |