| NPI | 1609225341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S0282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268214) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-07-02 |