| NPI | 1952596900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A9960) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-10-12 |