| NPI | 1962767152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX R7137) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.061192) |
| 207R00000X Internal Medicine (Licence: IL 036136271) | |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2018-10-02 |