| NPI | 1568699528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S3285) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD448198) |
| 208000000X Pediatrics (Licence: TX S3285) | |
| 208000000X Pediatrics (Licence: PA MD448198) | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2019-12-12 |