| NPI | 1619022902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L2528) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G65640) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-09 |