| NPI | 1336340694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M9506) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP40022712) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2012-06-20 |