| NPI | 1295177459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2016-01590) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2021-05-14 |