| NPI | 1083737217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0545) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083604) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2021-02-04 |