| NPI | 1710225214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7622) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 266121) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2024-06-18 |