| NPI | 1740930825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V8804) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME173863) |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2026-08-14 |