| NPI | 1346318052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7752) |
| Additional Taxonomies | 208D00000X General Practice (Licence: TX L7752) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2015-05-08 |