| NPI | 1326397357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 265104) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10045223) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2015-12-15 |