| NPI | 1538731831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM DO2026-0028) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U8338) |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2026-02-13 |