| NPI | 1306017983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9482) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A101725) |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2020-09-10 |