| NPI | 1700870193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX TexasRule172.20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1724301) |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-10-02 |