| NPI | 1174848758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0228) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME117624) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2018-10-30 |