| NPI | 1821344904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043395) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2016-06-02 |