| NPI | 1417247693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2015014965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q4661) |
| 208000000X Pediatrics (Licence: TX Q4661) | |
| 208000000X Pediatrics (Licence: MO 2015014965) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2017-03-15 |