| NPI | 1104067909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM A-1661-12) |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2015-10-16 |