| NPI | 1548220031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N7902) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 37366) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-04-05 |