| NPI | 1427684463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V8294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD482283) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2026-05-02 |