| NPI | 1265851604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T1339) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD21080) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2026-04-22 |