| NPI | 1548494180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 07007) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P2841) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2016-01-29 |