| NPI | 1245347186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX J1076) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX J1076) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2010-12-15 |