| NPI | 1962080382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V6996) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX V6996) |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2026-08-24 |