| NPI | 1730492406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0035205) |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2021-07-16 |