| NPI | 1386731818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 00049222) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H7263) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-09-16 |