| NPI | 1629226113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T9966) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10030961) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2023-03-09 |