| NPI | 1982880902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 2047) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2021-01-11 |