| NPI | 1063779569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD189242) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10042714) |
| 208000000X Pediatrics (Licence: TX Q8577) | |
| 208000000X Pediatrics (Licence: TX BP10042714) | |
| 208000000X Pediatrics (Licence: OR MD189242) | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2020-10-05 |