| NPI | 1265727184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6570) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53960) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-07-09 |