| NPI | 1518291574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1095) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 259185) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2015-07-14 |