| NPI | 1114181666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2707) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101251058) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2019-07-25 |