| NPI | 1366656993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1310) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35099360) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2024-03-02 |