| NPI | 1740441773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL30888) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-10-07 |