| NPI | 1093789729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX k4830) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX k4830) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2015-10-26 |