| NPI | 1649407453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02003826A) |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2023-06-20 |