NPI | 1063438919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K9759) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 215800) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2015-07-15 |