| NPI | 1467449108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7817) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 36397) |
| 207R00000X Internal Medicine (Licence: IL 036101575) | |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2012-08-13 |