| NPI | 1427585256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL BP100060898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060898) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2018-06-07 |