| NPI | 1972677938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT 10371) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K9639) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-08-03 |