| NPI | 1831042621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 10232788-4405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 10232788-8900) |
| Enumeration Date | 2026-02-19 |
| Last Update Date | 2026-04-20 |