| NPI | 1184245367 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3575)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10072186)  | 
| Enumeration Date | 2020-04-29 | 
| Last Update Date | 2025-04-29 |