| NPI | 1336373133 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8359)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 205485)  | 
| Enumeration Date | 2009-05-07 | 
| Last Update Date | 2019-08-23 |