| NPI | 1467457572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K-3819) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K3619) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2011-03-31 |