| NPI | 1689242950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT223446) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2024-12-05 |