| NPI | 1205068749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 9740415-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301094111) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2019-04-23 |