| NPI | 1023456506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C204936) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ R74103) |
| 207R00000X Internal Medicine (Licence: TX Q7756) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2026-01-09 |