| NPI | 1891998662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX H3142) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G035383) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |