| NPI | 1205914231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8642) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 41606) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-01-02 |