| NPI | 1255329694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K1699) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: TX K1699) |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: TX K1699) | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: TX K1699) | |
| 208VP0000X Pain Medicine, Pain Medicine (Licence: TX K1699) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-05-16 |