| NPI | 1841451788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TX P1917) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 282N00000X General Acute Care Hospital (Licence: TX P 1917) | |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-09-29 |