| NPI | 1710320916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX R3826) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX R2826) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2018-03-17 |