| NPI | 1841729233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T3014) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 330534) |
| 207R00000X Internal Medicine (Licence: NE 31145) | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2026-06-09 |