| NPI | 1285809558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8175) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069660A) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2018-10-03 |