| NPI | 1801985270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J0395) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: TX J0395) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-06-15 |