| NPI | 1487764387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 88-136) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9912) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-04-22 |