| NPI | 1972586527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 024797) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L4487) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2017-01-16 |