| NPI | 1316194533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP01549) |
| 207R00000X Internal Medicine (Licence: PA MD441371) | |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2015-01-23 |