| NPI | 1699113597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046834) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2019-12-29 |