| 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 |