| NPI | 1699060905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 69193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q5461) |
| 208000000X Pediatrics (Licence: TX Q5461) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-11-08 |