| NPI | 1144225160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2007-0446) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L0106) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2019-08-12 |