| NPI | 1871607911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 49097191205) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2024-07-24 |