| NPI | 1821042326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8301) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI 10698) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-07-15 |