| NPI | 1962778357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9495) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 566157) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2022-03-23 |