| NPI | 1356729297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3629) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 5937) |
| 207R00000X Internal Medicine (Licence: GA 80160) | |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2026-01-26 |