| NPI | 1710447479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX U1725) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX U1725) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2024-01-15 |