| NPI | 1851755185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A167751) |
| 207R00000X Internal Medicine (Licence: MD D62165) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2022-12-20 |