| NPI | 1700111747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D77510) |
| 207R00000X Internal Medicine (Licence: TX BP10034485) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-11-13 |