| NPI | 1013659101 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V9946) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351049514APP22) | 
| Enumeration Date | 2022-04-10 | 
| Last Update Date | 2025-10-22 |