| NPI | 1194839696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K6244) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 26519) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2010-12-28 |