| NPI | 1114295946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3754) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40209) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2015-08-27 |