| NPI | 1063862480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3748) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101022711) |
| 207R00000X Internal Medicine (Licence: NH 33724) | |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2026-02-25 |