| NPI | 1932461241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A127347) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P1993) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2014-12-31 |