| 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 |