| NPI | 1366754673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U0632) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 58767) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2023-07-19 |