| NPI | 1295994606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6563) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036122643) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-06-04 |