| NPI | 1821319542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6493) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 65699) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2020-05-27 |