| NPI | 1568872836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A153778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049989) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-12-15 |