| NPI | 1609220771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2019-0690) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10056817) |
| 207R00000X Internal Medicine (Licence: TX BP10056817) | |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2019-10-25 |