| NPI | 1912025362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4266) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV DO2709) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2024-07-08 |