| NPI | 1255745717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A22547) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX R1090) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-09-05 |