| NPI | 1114334752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T0874) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01901) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2021-09-10 |