| NPI | 1972676005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L2189) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX 196940) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2014-04-04 |