NPI | 1083845523 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7472) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N7472) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMBPIT#BP20035871) | |
Enumeration Date | 2009-07-31 |
Last Update Date | 2016-08-03 |