| NPI | 1912203373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C158470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R5426) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2019-02-07 |