| NPI | 1871903013 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TX R3554) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R3554) | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX 20776208) | |
| Enumeration Date | 2014-04-28 | 
| Last Update Date | 2023-01-16 |