| NPI | 1487947685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q5059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q5059) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2024-06-30 |