| NPI | 1407017510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60197739) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10032365) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2020-10-09 |