| NPI | 1184067803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019017043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q7469) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-02-12 |