| NPI | 1477787836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0035409) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2022-05-11 |