| NPI | 1972932523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 21928) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT81915) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2025-08-04 |