| NPI | 1548904758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V5801) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: TX V5801) |
| Enumeration Date | 2022-04-24 |
| Last Update Date | 2025-08-18 |