| NPI | 1710276894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30868) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q1524) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2018-10-16 |