| NPI | 1568549657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M5821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2006-0729) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-03-14 |