| NPI | 1881989440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q0237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10041497) |
| Enumeration Date | 2011-06-12 |
| Last Update Date | 2014-07-18 |