| NPI | 1578643581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 49394) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K5073) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-04-08 |