| NPI | 1326090119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M6522) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX M6522) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-02-14 |