| NPI | 1083175756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: UT 11901379-1205) |
| Additional Taxonomies | 208600000X Surgery (Licence: UT 11901379-1205) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-06-16 |