| NPI | 1720237498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 046854) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2020-02-24 |