| NPI | 1851686349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q2808) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041523) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2018-12-07 |