| NPI | 1275820698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q6344) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125059542) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2026-01-09 |