| NPI | 1437121308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2020-1125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX H3245) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2021-11-18 |