| NPI | 1942732334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S8546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME145031) |
| 207R00000X Internal Medicine (Licence: GA 85367) | |
| 207R00000X Internal Medicine (Licence: FL 145031) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-05-02 |