| NPI | 1538309794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2338) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT192293) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2022-07-21 |