| NPI | 1770845109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T2331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2017-0146) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2023-11-13 |