| NPI | 1003026410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5268) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301086385) |
| 207R00000X Internal Medicine (Licence: FL ME106499) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2019-10-16 |