| NPI | 1942557160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4755) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 34587) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2024-03-07 |