| NPI | 1295169837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R2719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01084420A) |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2021-06-19 |