| NPI | 1407096647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0839) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD440354) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2017-12-07 |