| NPI | 1205099256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4590) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2011018951) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2020-10-08 |