| NPI | 1053798447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5888) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10053387) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2019-06-11 |