| NPI | 1598709719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0006) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 0S013033) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-07-18 |