| NPI | 1629422126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 218117) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-07-18 |