| NPI | 1316196884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N0194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N0194) |
| 208000000X Pediatrics (Licence: NH EL32200) | |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2025-04-30 |