| NPI | 1790086106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6666) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6401) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2023-04-24 |