| NPI | 1942338470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME97106) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2022-12-15 |