| NPI | 1760826457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8030) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046287) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-06-29 |