| NPI | 1417691163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10080885) |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2025-07-18 |