| NPI | 1740481639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C130419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10022633) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2014-07-02 |