| NPI | 1457314635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 34997) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35086412) |
| 207R00000X Internal Medicine (Licence: TX N4856) | |
| 207R00000X Internal Medicine (Licence: AR E-8279) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-11-18 |