| NPI | 1033378153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9501) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233217) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2015-03-02 |