| NPI | 1861789687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10040144) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2020-02-24 |