| NPI | 1942514021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S1946) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301096958) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2026-02-27 |