| NPI | 1164678439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4491) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091955) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2015-06-26 |