| 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 |