| NPI | 1609432038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A201548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX U5630) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-10-19 |