| NPI | 1881628758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK M3227) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M3227) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2009-07-19 |