| NPI | 1326660515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7977) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 75036) |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2025-07-08 |