| NPI | 1215960653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M4131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A89733) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2014-03-28 |