| NPI | 1801091525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3668) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 11013301A) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2012-09-07 |