| NPI | 1972504967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K7429) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K7429) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2024-07-05 |