| NPI | 1841538352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0172) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 014299-I) |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2020-03-11 |