| NPI | 1124232384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0522) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 36117420) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-09-12 |