| NPI | 1306896642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5080) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-090659) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2015-06-30 |