| NPI | 1790721348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M6417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 17809) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-10-20 |