| NPI | 1184183980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U2586) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0095056) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-10-24 |