| NPI | 1629280441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q7218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL L2764R) |
| 207R00000X Internal Medicine (Licence: AL MD30175) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-02-25 |