| NPI | 1134105752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M0621) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD15722R) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: TX M0621) | |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2019-12-09 |