| NPI | 1790710804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 30702) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2534) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-11-17 |