| NPI | 1023228996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2009-0031) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10021622) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-05-02 |