| NPI | 1629211222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4015) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087773) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2023-08-30 |