| NPI | 1265729461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9857) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6448) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2021-07-16 |