| NPI | 1275803686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0689) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060101) |
| 207R00000X Internal Medicine (Licence: CA A130221) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2018-02-07 |