| NPI | 1942430780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME121810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P4280) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2016-09-06 |