| NPI | 1801474242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W2713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A188814) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2026-05-01 |