| NPI | 1689029696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S4016) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S4016) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2026-07-07 |