| NPI | 1780018986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R8915) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS13848) |
| 207R00000X Internal Medicine (Licence: FL UO3743) | |
| Enumeration Date | 2013-08-25 |
| Last Update Date | 2020-02-25 |