| NPI | 1831168095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 47395) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M1693) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2010-11-29 |