| NPI | 1841481793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD28128) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2019-01-25 |