| NPI | 1659913440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U1208) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-46521) |
| 207R00000X Internal Medicine (Licence: AZ 65853) | |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2025-07-16 |