| NPI | 1184715864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 18594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G5166) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |