| NPI | 1790070894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P7486) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 10041513) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2024-05-14 |