| NPI | 1467550129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 1419) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F8282) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |