| NPI | 1144214594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R0950) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2002008094) |
| 207R00000X Internal Medicine (Licence: KS 04-29770) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2017-03-02 |