| NPI | 1366617029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2011-00762) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38863) |
| 207R00000X Internal Medicine (Licence: GA 91664) | |
| 207R00000X Internal Medicine (Licence: TX V2785) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-12-10 |