| NPI | 1073849287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R3049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME96953) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2021-10-13 |