| NPI | 1598956773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7393) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10029413) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2013-10-17 |