| NPI | 1447234513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101253110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G2042) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-12-09 |