| NPI | 1801470323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX U3596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX 33593802) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-09-09 |