| NPI | 1346573086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P8135) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 098438) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2026-03-10 |