| NPI | 1518595040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX v8235) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: GA 1600) | |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2025-08-05 |