| NPI | 1164681144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3893) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125049816) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2013-07-18 |