| NPI | 1760687537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3391) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 46149) |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2022-10-18 |