| NPI | 1659637676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: OK 29068) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX r1608) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2026-06-02 |