| NPI | 1144782046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T3075) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T3075) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-09-07 |