| NPI | 1003086976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234650) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2016-08-18 |