| NPI | 1912263781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043095) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2019-05-25 |