| NPI | 1225139793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N2094) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AR E-4840) |
| 208000000X Pediatrics (Licence: AR E-4840) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2009-12-14 |