| NPI | 1043599178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R5631) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 53115) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2024-09-09 |