| NPI | 1760897185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 29000) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2025-03-18 |