| NPI | 1497242218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U0296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 38539) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-10-01 |