| NPI | 1912469727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T3596) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX T3596) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-11-10 |