| NPI | 1073047601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 010864) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S1408) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2025-09-19 |