| NPI | 1801879846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8961) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 217080) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-03-11 |