| NPI | 1487041430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3196) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S3196) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2022-01-04 |