| NPI | 1194038158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 053317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10037468) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2016-05-16 |