| NPI | 1972659555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8179) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 47936) |
| 207R00000X Internal Medicine (Licence: SC 35310) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-12-31 |