| NPI | 1689018665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 305645) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R4028) |
| 208000000X Pediatrics (Licence: TX R4028) | |
| 208000000X Pediatrics (Licence: LA 305645) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2020-08-17 |