| NPI | 1073923629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7362) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 36136) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-05-16 |