| NPI | 1497987580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.205629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R6519) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2023-03-13 |