| NPI | 1144221136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 30304) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD0000038046) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2014-04-24 |