NPI | 1164954640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S5545) |
207RB0002X Internal Medicine, Bariatric Medicine (Licence: TX S5545) | |
208D00000X General Practice (Licence: TX S5545) | |
208M00000X Hospitalist (Licence: TX S5545) | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-05-22 |