| NPI | 1861436040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7655) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BB5224794) |
| 207R00000X Internal Medicine (Licence: AK 4446) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-11-17 |