| NPI | 1407870694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0144473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K1909) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2026-05-01 |