| NPI | 1780836429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1365) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD434720) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2023-02-16 |