| NPI | 1649200668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX G7162) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX G7162) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2024-07-18 |