| NPI | 1851387500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 200201585) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2014-05-16 |