| NPI | 1326136243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N1507) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ MA64547) |
| 207R00000X Internal Medicine (Licence: NM MD2011-0215) | |
| 208000000X Pediatrics (Licence: NM MD2011-0215) | |
| 208000000X Pediatrics (Licence: TX N1507) | |
| 208000000X Pediatrics (Licence: NJ MA64547) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2024-03-13 |