| NPI | 1346500782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME122121) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10044658) |
| Enumeration Date | 2012-05-19 |
| Last Update Date | 2024-03-20 |