| NPI | 1942459474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2013-00323) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N0941) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2025-08-25 |