| NPI | 1386804326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01069413A) |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2018-03-16 |