| NPI | 1023377637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C51566) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H7181) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2019-09-27 |