| NPI | 1912361700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V4171) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 163959) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-04-17 |