| NPI | 1740408624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P2211) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2005015456) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2012-06-20 |