| NPI | 1639281348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX m4929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A87835) |
| 207R00000X Internal Medicine (Licence: HI 13774) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-07-21 |