| NPI | 1548370893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0267) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME85863) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-02-26 |