| NPI | 1114102092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2580) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101850) |
| 207R00000X Internal Medicine (Licence: MD D0067373) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2020-03-19 |