| NPI | 1104489756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W1182) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX W1182) |
| 207R00000X Internal Medicine (Licence: RI LP04741) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2026-07-08 |