| NPI | 1528295144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60587311) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10034495) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2016-04-28 |