| NPI | 1174657258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2635) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K2635) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2012-05-30 |