| NPI | 1528321213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T3235) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD455873) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2022-08-30 |