| NPI | 1366271439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX PA18131) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX PA18131) |
| 208000000X Pediatrics (Licence: TX PA18131) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |