| NPI | 1902246275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX r1186) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125064177) |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2026-07-20 |