| NPI | 1689086522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U5382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101259166) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2023-10-03 |