| NPI | 1558567750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5955) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50756-020) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2016-12-08 |