| NPI | 1881663557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1219) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36165) |
| 207R00000X Internal Medicine (Licence: CA A103118) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-03-22 |