| NPI | 1487663357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX M2000) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M2000) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2025-12-11 |