| NPI | 1144401027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1075) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 234279) |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2013-08-13 |