| NPI | 1356737894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S3761) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2019-10-31 |