| NPI | 1801582853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX W3778) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10084782) |
| 208D00000X General Practice (Licence: TX W3778) | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2026-07-07 |