| NPI | 1407176860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6547) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10036753) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2022-01-25 |