| NPI | 1104402031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V3352) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD20240344) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-08-20 |