| NPI | 1023177821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 320950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L8606) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2019-09-26 |