| NPI | 1194019125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-247668) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2022-09-28 |