| NPI | 1336589761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6983) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125063432) |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2016-08-29 |