| NPI | 1659345114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME92432) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K2770) |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2015-01-21 |