| NPI | 1881658151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0745) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A80708) |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2017-03-27 |