| NPI | 1548420177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 055594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K2032) |
| 208000000X Pediatrics (Licence: TX K2032) | |
| 208000000X Pediatrics (Licence: GA 055594) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2017-01-21 |