| NPI | 1063743623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10035413) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2018-03-26 |