| NPI | 1841420817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 8254170-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 240895) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2026-04-21 |