| NPI | 1427084763 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L9867) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 71751) | 
| 207R00000X Internal Medicine (Licence: NV 18642) | |
| 207R00000X Internal Medicine (Licence: CO DR.0073799) | |
| 207R00000X Internal Medicine (Licence: OH 35.152420) | |
| 207R00000X Internal Medicine (Licence: MI 4301513383) | |
| Enumeration Date | 2006-06-25 | 
| Last Update Date | 2025-02-18 |