NPI | 1962717454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2322) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000050143) |
Enumeration Date | 2010-08-10 |
Last Update Date | 2015-02-26 |