| NPI | 1508844796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A6109) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K7497) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2015-06-18 |