| NPI | 1598976763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9083) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 2343) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2020-05-04 |