| NPI | 1811275233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P9926) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO DR.0077852) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2026-06-29 |