| NPI | 1730446014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5214) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 207098) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-11-11 |