| NPI | 1619387057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R2047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10050672) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2022-07-21 |