| NPI | 1790864932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO27241) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M3826) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-01-28 |