| NPI | 1861408890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K6681) |
| Additional Taxonomies | 261QR0404X Clinic/Center, Rehabilitation, Cardiac Facilities (Licence: TX K6681) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2021-02-24 |