| NPI | 1568691699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1798) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01072717A) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-09-01 |