| NPI | 1730558636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020040267) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2021-03-01 |