| NPI | 1497947667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9903) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 045466) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2016-04-21 |