| NPI | 1073700126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7805) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233686) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2014-01-02 |