| NPI | 1659324697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33072) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9274) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2025-06-18 |