| NPI | 1205330545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T5111) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD474928) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-01-03 |