| NPI | 1649293226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX 12612737-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX V5228) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2025-10-13 |