| NPI | 1356351977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q1633) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD36510) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2015-01-22 |