| NPI | 1538153283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N3785) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036099345) |
| 208000000X Pediatrics (Licence: IN 01055817A) | |
| 208000000X Pediatrics (Licence: TX N3785) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2010-08-19 |