| NPI | 1952403958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00046131) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2013-01-08 |