| NPI | 1346408325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD441132) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2015-04-16 |