| NPI | 1235717307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 1041732) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX F03211182) |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2025-12-12 |