| NPI | 1497930291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9996) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 235352) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2013-08-08 |