| NPI | 1528557667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME148209) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2026-03-09 |