| NPI | 1477577708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M2309) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013009349) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2024-12-02 |