| NPI | 1184006249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V2413) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 80090) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2026-07-22 |