| NPI | 1801538566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: TX V0167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101028592) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-10-16 |