| NPI | 1881914349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101254909) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2023-05-06 |