| NPI | 1861540551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8160) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 24674) |
| 207R00000X Internal Medicine (Licence: PA MD428215) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2018-11-26 |