| NPI | 1003857236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: LA 205149) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.205149) |
| 207R00000X Internal Medicine (Licence: TX M8654) | |
| 208000000X Pediatrics (Licence: LA MD205149) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2025-03-11 |