| NPI | 1740415371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.205609) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2022-12-27 |