| NPI | 1881957140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3504) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56523) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2015-09-30 |