| NPI | 1346771060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V0035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 71229) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2025-09-08 |