| NPI | 1366527855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9777) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL MD.27677) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-02-25 |