| NPI | 1265051221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U7452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME165420) |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2025-08-19 |