| NPI | 1265012744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 29763) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U9392) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2026-08-17 |