| NPI | 1275861924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0842) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD 2009-0602) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2017-03-01 |