| NPI | 1861020695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V7838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 338512) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2026-07-07 |