| NPI | 1912018714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N5130) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301081199) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: TX N5130) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-11-02 |