| NPI | 1588673008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX L0429) |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: TX L0429) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-09-12 |