| NPI | 1275880163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX PA01301) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA01301) |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2020-09-16 |