| NPI | 1386064277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 30741) |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2022-07-06 |