| NPI | 1134323462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48428) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-07-06 |