| NPI | 1316367980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A153663) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX W0397) |
| 207R00000X Internal Medicine (Licence: NV 28068) | |
| 207R00000X Internal Medicine (Licence: VT 042.0018856) | |
| 207R00000X Internal Medicine (Licence: NH 38466) | |
| 207R00000X Internal Medicine (Licence: DE C1-0028559) | |
| 207R00000X Internal Medicine (Licence: AL 51957) | |
| 207R00000X Internal Medicine (Licence: GA 103853) | |
| 207R00000X Internal Medicine (Licence: IA MD-55639) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2026-05-11 |