| NPI | 1154534402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L7806) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC MD89494) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-08-13 |