| NPI | 1831419282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P4452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10038440) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2013-06-19 |