| NPI | 1548671647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R4860) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049293) |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: TX R4860) | |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2021-04-05 |