| NPI | 1568752988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5610) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A124153) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2018-03-14 |