| NPI | 1093201261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W0102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 54853) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2025-07-29 |