| NPI | 1912975111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E3038) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-04-20 |