| NPI | 1871859520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q3093) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043541) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2020-10-14 |