| NPI | 1033557442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX q8885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q8885) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-05-25 |