| NPI | 1083824916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10025663) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-06-25 |