| NPI | 1255774097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R7896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A133415) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2022-12-02 |