| NPI | 1598408601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101286357) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10079237) |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2025-09-17 |