| NPI | 1467696047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R2205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 252901) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2017-05-08 |