| NPI | 1821459884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U6071) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101263920) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2025-04-25 |