| NPI | 1205097318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2862) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10032359) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2013-11-15 |