| NPI | 1255505822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301086333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q3075) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2026-04-08 |