| NPI | 1912361585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 66182) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-01-06 |