| NPI | 1659727105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3034) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10056509) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2025-11-24 |