| NPI | 1386137834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351031624) |
| Enumeration Date | 2018-06-10 |
| Last Update Date | 2021-06-29 |