| NPI | 1417237025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q9275) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md443995) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2018-12-07 |