| NPI | 1508276601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 34685) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049295) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2019-06-24 |