| NPI | 1528057742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 048972) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P7064) |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2023-01-09 |