| NPI | 1043461585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME105338) |
| 207R00000X Internal Medicine (Licence: GA 70391) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2019-03-12 |