| NPI | 1124085774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7409) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 20020232) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2013-10-08 |