| NPI | 1154741148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 56493) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2021-04-22 |