| NPI | 1487638532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M6236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 084350) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2015-06-02 |