| NPI | 1013228733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 19882) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P6163) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2019-09-20 |