| NPI | 1447440854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 277927) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S8637) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2022-01-04 |