| NPI | 1063674851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P3041) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125054549) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-01-17 |