| NPI | 1538480694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 049129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M8369) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2012-08-09 |