| NPI | 1487146130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10064491) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2021-06-30 |