| NPI | 1982805339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0554) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101241159) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-05-18 |