| NPI | 1154501799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T5140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 65974-20) |
| 207R00000X Internal Medicine (Licence: IL 036-121516) | |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2026-03-05 |