| NPI | 1700941424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX p2233) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA g48462) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2023-03-17 |