| NPI | 1558340158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX F8746) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX F8746) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2011-04-21 |