| NPI | 1326221649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0878) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10022509) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2021-11-01 |