| NPI | 1619133238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX N8176) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N8176) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2023-07-14 |