| NPI | 1255795027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U3476) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC DO034830) |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2026-07-15 |