| NPI | 1851548622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P0418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301091547) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2023-05-29 |