| NPI | 1508964552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 77655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G4418) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-05-01 |