| NPI | 1548311160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9426) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 221368) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2016-01-20 |