| NPI | 1528138419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0129) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 241513) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2018-06-22 |