| NPI | 1932541406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R6397) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102304) |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2020-07-28 |