| NPI | 1366472896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-2237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H 1867) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |