| NPI | 1427257872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M6686) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 6054636-1205) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2020-07-22 |