| NPI | 1245972470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V2783) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V2783) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2026-02-20 |