| NPI | 1982869293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R9503) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 27576) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2023-01-04 |