| NPI | 1093045981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.206020) |
| 207R00000X Internal Medicine (Licence: CT 55828) | |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2021-09-23 |