| NPI | 1659495661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V2531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 031882) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-03-11 |