| NPI | 1043345234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 30061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M5984) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-03-04 |