| NPI | 1619503562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V5726) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1013258) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2025-12-01 |