| NPI | 1073806675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX t9527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 204478) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2023-08-28 |