| NPI | 1447243688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L5238) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 226557-1) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2011-10-05 |