| NPI | 1346627726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 51222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10052625) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2018-08-24 |