| NPI | 1497840540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN M.D. 0000011058) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX G5992) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2019-05-08 |