| NPI | 1245335934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M7061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.10472R) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-02-29 |