| NPI | 1902281934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V2719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD464604) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2026-03-16 |