| NPI | 1699074104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036144718) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2024-08-08 |