| NPI | 1609919075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G59700) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 12165) |
| 207R00000X Internal Medicine (Licence: OH 35-088424) | |
| 207R00000X Internal Medicine (Licence: IN 01062691A) | |
| 207R00000X Internal Medicine (Licence: TX M5710) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-08-06 |