| NPI | 1548330277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K4783) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 46512) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-11-16 |