| NPI | 1639557473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R4107) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10054286) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2018-09-12 |