| NPI | 1740393776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9203) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME83117) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2022-03-10 |