NPI | 1972586527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 024797) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L4487) |
Enumeration Date | 2005-11-28 |
Last Update Date | 2017-01-16 |