| NPI | 1417977042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR DO150943) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K9775) |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: TX K9775) | |
| 2080A0000X Pediatrics Adolescent Medicine (Licence: OR DO150943) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-04-11 |