| NPI | 1023003993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX T2435) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 51256) |
| 208000000X Pediatrics (Licence: GA 051256) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2021-11-23 |