NPI | 1083291330 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 12952579-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME171259) |
208000000X Pediatrics (Licence: UT 12952579-1205) | |
Enumeration Date | 2021-03-24 |
Last Update Date | 2025-08-05 |