| NPI | 1902087091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102080) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2018-01-16 |