| NPI | 1740512805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T4753) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 52595) |
| 207R00000X Internal Medicine (Licence: PA MD441071) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: AZ 52595) | |
| 207Q00000X Family Medicine (Licence: AR E-7611) | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: PA MD441071) | |
| Enumeration Date | 2010-01-31 |
| Last Update Date | 2026-05-28 |