| NPI | 1043476476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9956) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0067922) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2016-01-22 |