| NPI | 1104050780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0034945) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2020-06-04 |