| NPI | 1750849535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX AP140836) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP140836) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |