| NPI | 1073568416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6014) |
| Additional Taxonomies | 174400000X Specialist (Licence: NE 20249) |
| 208000000X Pediatrics (Licence: TX P6014) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-10-31 |