| NPI | 1790926483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9283) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087258) |
| Enumeration Date | 2009-03-10 |
| Last Update Date | 2014-03-26 |