| NPI | 1265466643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WY 5870A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX G9440) |
| 207R00000X Internal Medicine (Licence: OR MD14009) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-01-20 |