| NPI | 1710484795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6047) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 1710484795) |
| 207R00000X Internal Medicine (Licence: TX 47385) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-06-23 |