| NPI | 1376702878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA DO.000261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10030892) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-04-26 |