| NPI | 1821067083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q7146) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.15226R) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-07-21 |