| NPI | 1548527070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX V5833) | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME130123) | 
| Enumeration Date | 2012-04-22 | 
| Last Update Date | 2025-06-05 |