| NPI | 1356368898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7376) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 19000) |
| 208D00000X General Practice (Licence: TX N7376) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2012-05-18 |