| NPI | 1962898445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2725) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS2015-0388) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2019-07-16 |