| NPI | 1538336250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S7705) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 249265) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2022-01-19 |