| NPI | 1578979910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8429) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 32624) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-01-05 |