| NPI | 1922270982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L1329) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065910) |
| 207R00000X Internal Medicine (Licence: FL 105929) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2014-01-16 |