| NPI | 1790982759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX A82074) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A82074) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2023-05-26 |