| NPI | 1629398540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T0735) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A119187) |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2021-07-16 |