| NPI | 1487815544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N8786) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N8786) |
| Enumeration Date | 2008-06-21 |
| Last Update Date | 2024-05-06 |