| NPI | 1881834158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX r4807) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0074769) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2022-08-04 |