| NPI | 1023049541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD174311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1440) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2018-03-15 |