| NPI | 1023252798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TX P9793) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012021604) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2024-05-14 |