| NPI | 1659317170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2265) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A051661) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2019-11-08 |