| NPI | 1619327004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 22725) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-09-27 |