| NPI | 1376630053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K6828) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX K6828) |
| 207R00000X Internal Medicine (Licence: TX K6828) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-07-01 |