| NPI | 1174714364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5843) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0028950) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-06-03 |