| NPI | 1104025071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO174435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10027617) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2017-04-21 |