| NPI | 1639594047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 27384R) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2015-12-07 |