| NPI | 1780604975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K1793) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C145508) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2021-10-20 |