| NPI | 1457664583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A148331) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q0148) |
| 207R00000X Internal Medicine (Licence: PA MD449450) | |
| 207R00000X Internal Medicine (Licence: PA MT198264) | |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2017-12-07 |