| NPI | 1750659082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041370) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2021-06-01 |