| NPI | 1457387995 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L3436) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 91376) | 
| 207R00000X Internal Medicine (Licence: IL 36164241) | |
| 207R00000X Internal Medicine (Licence: KY C1982) | |
| 207R00000X Internal Medicine (Licence: TN 29421) | |
| 207R00000X Internal Medicine (Licence: OH 35C.000932) | |
| 207R00000X Internal Medicine (Licence: NV 25130) | |
| 207R00000X Internal Medicine (Licence: PA MD484136) | |
| 207R00000X Internal Medicine (Licence: MO 2023050318) | |
| 207R00000X Internal Medicine (Licence: MI EMC0003885) | |
| Enumeration Date | 2006-06-25 | 
| Last Update Date | 2025-10-23 |