| NPI | 1588005268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX R1820) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX R1820) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301103100) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2022-07-21 |