| NPI | 1487829057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q5713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-127014) |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: SC 31298) | |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TX Q5713) | |
| 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IL 12504967) | |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2026-04-08 |