| NPI | 1497981625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1664) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0035403) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2015-01-07 |