| NPI | 1881845634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q4274) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME MD18577) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2017-04-14 |