| NPI | 1649405382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X (Licence: TX P9685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP1-0034766) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2016-06-17 |