| NPI | 1356383152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L4860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 255368) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2013-08-19 |