| NPI | 1114981818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C55495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1435) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2012-10-25 |