| NPI | 1366638538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI L939475) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2010-07-22 |