| NPI | 1588313688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX U5799) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U5799) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-11-14 |