| NPI | 1649650045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R6555) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125066683) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-12-11 |