| NPI | 1174531560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K3929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A 9444) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2021-03-24 |