| NPI | 1427078955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C50005) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H0696) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2009-01-15 |