| NPI | 1508240722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9791) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 310727) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-07-31 |