| NPI | 1063438919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K9759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215800) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-07-15 |