| NPI | 1336503275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S5924) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX S5924) |
| 207QA0505X Family Medicine, Adult Medicine (Licence: TX S5924) | |
| 208000000X Pediatrics (Licence: TX S5924) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2021-01-22 |