| NPI | 1568699718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034600) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2019-02-22 |