| NPI | 1881679082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD25235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7854) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2014-06-09 |