| NPI | 1649236456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4150) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01051051A) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-09-18 |