| NPI | 1932127180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 61890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX J6085) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2014-03-05 |