| NPI | 1528265485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N4633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 244721) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2010-08-31 |