| NPI | 1346201910 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 191714) | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 191714) | 
| 207P00000X Emergency Medicine (Licence: TX J3442) | |
| 207R00000X Internal Medicine (Licence: TX J3442) | |
| Enumeration Date | 2006-03-31 | 
| Last Update Date | 2025-09-11 |