| NPI | 1265643852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8238) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 3916) |
| 207R00000X Internal Medicine (Licence: OK 3916) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-06-27 |