| NPI | 1487904116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL OS13412) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX P3847) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2018-10-02 |