| NPI | 1174786107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101242950) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2016-06-14 |