| NPI | 1396026688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0079) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT200294) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2022-01-25 |