| NPI | 1568601516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME100879) |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2022-03-31 |