| NPI | 1346246964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K9697) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: TX K9697) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2017-04-19 |