| NPI | 1730301615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0232) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME101882) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-07-14 |