| NPI | 1548527070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V5833) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME130123) |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2025-06-05 |