| NPI | 1184836876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME105848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M6358) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-07-08 |