| NPI | 1275750804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 60199811205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101245196) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2025-05-20 |