| NPI | 1881006195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NE 30401) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049386) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2018-01-16 |