| NPI | 1356637474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9720) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098846) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2020-10-14 |