| NPI | 1659582575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1586) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX N1586) |
| 282N00000X General Acute Care Hospital (Licence: TX N1586) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-04-26 |