| NPI | 1952740094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 0057174) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-08-20 |