| NPI | 1629396262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8765) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 206027) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2016-11-07 |