| NPI | 1700096385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9706) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61472474) |
| 207R00000X Internal Medicine (Licence: GA 066356) | |
| 207R00000X Internal Medicine (Licence: CA A133270) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2026-06-21 |