| NPI | 1225355134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 51269) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q1027) |
| 208000000X Pediatrics (Licence: SC 51269) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207R00000X Internal Medicine (Licence: TX Q1027) | |
| Enumeration Date | 2010-05-02 |
| Last Update Date | 2021-10-01 |