| NPI | 1275712598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 29270) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2014-08-07 |