| NPI | 1679911952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0779) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10047619) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2016-12-16 |