| NPI | 1467608976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N6430) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125053388) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2012-12-19 |