| NPI | 1912937897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P5087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.087715) |
| 207R00000X Internal Medicine (Licence: WV 23403) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-05-22 |