| NPI | 1659811610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T6676) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61043321) |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2025-10-01 |