| NPI | 1124050638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7557) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 25992) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-02-14 |