| NPI | 1942686282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101264361) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S7971) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-01-04 |