| NPI | 1740500818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4390) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10037105 5499954) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2022-01-24 |