| NPI | 1336300631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0505) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: TX p0505) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2022-07-21 |