| NPI | 1780851089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P1855) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-120480) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2013-07-18 |