| NPI | 1730326679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX N9404) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N9404) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2023-07-21 |