| NPI | 1184008245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T9895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263642) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2022-12-18 |