| NPI | 1083050595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 202301876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9075) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2025-07-07 |