| NPI | 1083845523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7472) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: TX N7472) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX TMBPIT#BP20035871) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2016-08-03 |