| NPI | 1144665977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD460596) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10046578) |
| 208000000X Pediatrics (Licence: TX BP10046578) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: TX BP10046578) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2020-08-31 |