| NPI | 1912158387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: TX P8954) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMB PIT # BP10029038) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2023-03-29 |