| NPI | 1326077991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9057) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2002-0296) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-10-10 |