| NPI | 1336673532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W1881) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 2043) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2025-11-17 |