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 |