| NPI | 1760737142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3257) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044204) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2022-02-18 |