| NPI | 1467787440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60555250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R8038) |
| 207R00000X Internal Medicine (Licence: TX R8038) | |
| 207R00000X Internal Medicine (Licence: CT 72020) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2024-09-17 |