| NPI | 1114918349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO CDRH.0058867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10016831) |
| Enumeration Date | 2005-11-05 |
| Last Update Date | 2026-07-10 |