| NPI | 1629269816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P5676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2013-0240) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-07-07 |