| NPI | 1417240250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60633001) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041330) |
| 207R00000X Internal Medicine (Licence: TX P8356) | |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2016-07-25 |